脳卒中後遺症をもつ在宅患者の機能回復意欲に関する要因

Factors on Motives for Rehabilitation of Post-Cva Clients at Homes

要旨

　脳卒中の後遺症を持つ在宅患者14名に対して、機能回復意欲に関する半構成的質問による質的研究を行った。その結果、機能回復意欲は、主体性、自発性、積極性という構成要因と、健康観、心の支え、障害の受けとめ方、家族関係の変化、対人関係の変化、自己観の変化、生活の満足感、未来に対する展望の8要因からなる影響要因があり、影響要因の内容、数、関連のしかたは個人に固有のものである事が明らかになった。このうち、家族関係の変化、対人関係の変化、自己観の変化、生活の満足感の4要因は発病後の自分と他者との関係の受けとめ方を構成していた。

　在宅患者の機能回復意欲を高めるためには、個人の意欲の構成要因、影響要因を、個々の対象者の意味においてアセスメントし、肯定的な影響要因を増強すると共に、意欲に否定的な影響要因が肯定的に関連するよう援助する必要がある。

ABSTRACT

　Qualitative studies have been made on the motives for rehabilitation of post-CVA 14 clients at homes by semi-constitutional questions.As a result, rehabilitating motives were classified into 8 influential factors such as prospects for future, sense of satisfaction for living, change in sense of self personality, change in personal relations, change in family-relation, attitude towards the post-CVA symptom, emotional mainstay, sense of health, and composing factors as with positiveness, voluntariness and subjective individuality. The contents of the influential factors and number or the manners of connections were characteristic of individuals. Among them, 4 factors such as change in family-relation, change in personal relations, change in sense of self-personality, sense of satisfaction for living have constituted the attitudes towards relation between oneself and the other after falling into the sickness. In order to elevate the motives for rehabilitation of clients at homes, it is necessary to enhance the affirmative influential factors by making assessment of influential factors and constituting factors of individual motives in a sense of individual subjects, and also, the assistance is necessary to make negative influential factors on the motives related affirmatively.